Jans Matt, Viana Joseph, Grant David, Cochran Susan D, Lee Annie C, Ponce Ninez A
Matt Jans, Joseph Viana, David Grant, and Ninez A. Ponce are with the California Health Interview Survey, UCLA Center for Health Policy Research, UCLA Fielding School of Public Health, University of California, Los Angeles. Susan D. Cochran is with the Department of Epidemiology, UCLA Fielding School of Public Health. Annie C. Lee is with the Department of Sociology, UCLA.
Am J Public Health. 2015 May;105(5):e43-50. doi: 10.2105/AJPH.2014.302514. Epub 2015 Mar 19.
We explored changes in sexual orientation question item completion in a large statewide health survey.
We used 2003 to 2011 California Health Interview Survey data to investigate sexual orientation item nonresponse and sexual minority self-identification trends in a cross-sectional sample representing the noninstitutionalized California household population aged 18 to 70 years (n = 182 812 adults).
Asians, Hispanics, limited-English-proficient respondents, and those interviewed in non-English languages showed the greatest declines in sexual orientation item nonresponse. Asian women, regardless of English-proficiency status, had the highest odds of item nonresponse. Spanish interviews produced more nonresponse than English interviews and Asian-language interviews produced less nonresponse when we controlled for demographic factors and survey cycle. Sexual minority self-identification increased in concert with the item nonresponse decline.
Sexual orientation nonresponse declines and the increase in sexual minority identification suggest greater acceptability of sexual orientation assessment in surveys. Item nonresponse rate convergence among races/ethnicities, language proficiency groups, and interview languages shows that sexual orientation can be measured in surveys of diverse populations.
在一项大规模的全州健康调查中，我们探究了性取向问题项完成情况的变化。
我们使用2003年至2011年加利福尼亚健康访谈调查数据，在一个代表加利福尼亚州18至70岁非机构化家庭人口的横断面样本（n = 182812名成年人）中，调查性取向问题项无应答情况以及性少数群体自我认同趋势。
亚裔、西班牙裔、英语能力有限的受访者以及那些接受非英语语言访谈的人，在性取向问题项无应答方面下降幅度最大。无论英语水平如何，亚洲女性问题项无应答的几率最高。当我们控制人口统计学因素和调查周期时，西班牙语访谈产生的无应答比英语访谈更多，而亚洲语言访谈产生的无应答更少。性少数群体自我认同的增加与问题项无应答的下降相一致。
性取向无应答率下降以及性少数群体认同增加表明，调查中性取向评估的可接受性更高。种族/族裔、语言能力群体和访谈语言之间问题项无应答率趋同，表明在不同人群的调查中可以对性取向进行测量。
